Payer comparison · CDM 48109774 · BROOKFIELD, WI

48109774 — Hc Revasc Lithotr-ather Tib/per

What each payer pays Ascension SE Wisconsin Hospital - Elmbrook Campus (CCN 520170) for this procedure, and where each sits versus the all-payer median at this facility. Find your plan to see whether you're above or below the market here.

$57,912 All-payer median here

$42,335 Cash / self-pay here

19 payer/plan-name variants

← This hospital National rates for 48109774 →

Per-payer negotiated rate at this facility. Use the column headers to sort, the filter row to narrow results.
Payer / plan	Median negotiated	vs all-payer median	Rate rows

CDM DEFAULT - NON-NEGOTIATED RATE	$79,878	37.9%	1
HEALTH EOS/MULTIPLAN WC	$75,085	29.7%	1
NEHA PPO ON/NEAR SITE	$71,091	22.8%	1
NEHA PPO BROAD	$71,091	22.8%	1
MultiPlan	$69,494	20.0%	1
WEA PROVIDER AND POS	$65,500	13.1%	1
First Health Network	$62,704	8.3%	2
Cigna Healthcare	$62,305	7.6%	1
Aetna	$61,506	6.2%	1
NEHA LIMITED	$55,915	-3.4%	1
NEHA ASCENSION ONLY	$55,915	-3.4%	1
TRILOGY	$55,116	-4.8%	1
Molina Healthcare	$47,128	-18.6%	1
HEALTH PAYMENT SYSTEMS SOLUTIONS	$43,134	-25.5%	1
WEA TRUST PPO	$42,335	-26.9%	1
WEA TRUST SELECT POS	$42,335	-26.9%	1
SEHN	$39,939	-31.0%	1
SMARTHEALTH EMPLOYEES 20191001 TLK ADJ - MODEL	$31,152	-46.2%	1
Network Health, Inc.	$15,873	-72.6%	1

Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.